title: [Anal fistula. Its treatment and results].
abstract: Between January, 1986 and December, 1988, 84 patients with anal fistula were operated on. Sixty-six were males and 18 females, with a mean age of 36 years. There was 100% follow-up. Parks' classification (1976) was used, with the following distribution: 65% transsphincteral 23% intersphincteral, 10% subcutaneous and 1% suprasphincteral fistulas. Fistulotomy and flattening were performed in every case but four, in which a seton ligature was used, performing a partial fistulotomy. Goodsall's rule was followed in 96.5% of the cases. The mean length of hospital stay was 2.1 days. Morbidity was 3.5% and the recurrence and gas incontinence rates were 4.7% and 3.5%, respectively. It was concluded that Parks' classification and Goodsall's rule are very useful in fistular surgery and that section of 3/4 of the sphincter does not increase the rate of incontinence, although a seton must be used in 5% of the cases with a 50% failure rate.
authors.affiliation: Servicio de Cirugía General, Hospital de la Cruz Roja, Universidad Autónoma de Barcelona.
authors.forename: L
authors.initials: L
authors.lastname: Viso
authors.forename: J
authors.initials: J
authors.lastname: Mullerat
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000453:epidemiology; D012003:Rectal Fistula / Q000145:classification / Q000601:surgery*; D012008:Recurrence; D013536:Suture Techniques
vernacular_title: Fístula anal. Tratamiento y resultados.